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BLD2017-00830 Final SFR - BLD Permit / Conditions - 1/12/2018
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Date By DRYWALL Type- Int.Brace Wall haste By Date By 04 By r 0) CE) FINAL INSPECTION 10 M 0 Water Line Fire Sops ration 0 CD m I Date By Date By Date By -& i6l -4 Pass o 6r Request Inspect. Q Type of Insp. Fall Date Date Done By Comments 00 CA) . ... ...... Cn q, 0 0 :3 L1 oe--17e-1 0 .......... 0 j0 1-04 11A Al) (D FZ' Sir TT Ok �7-0 71Iel-'e2 0 I RECEIVED AUG 2 9 209 1 615 W. Alder Street r r PLANNING Q '1PLANNING : ALL SETBACKS ARE MEASURED FROM THE FURTHEST l PROJECTION OF THE BU'll-DING Ci U ` ; 5a I -ter------ 5'011 n -b+WcrI L I r i �31 /r Q � I f j;WV ED D PLANNING ,. TO 6F ON SITE -- t .. PROVAL 'If E TO AP yew Name ()y1 Parcel# p�o�'lj�jt7+ 1�Q• ddi� BLD# �� D Mason County A J I L®! N G AUG 2 9 201 Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page T4631. Alder S reet Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a Stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details*are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: 360-427-9670 ext 450 100 W.Public Works Dr Shelton.WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason County Division of Environmental Health can be reached at: Phone: 360-427-9670 ext 400 415 N. 6th St— Bldg#8 lower level Shelton.WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to e a ove- despribed property for review and inspection as may be required. X ,/ Owner/Agent/Contractor(circle one)Date: Page 2 of 2 Name Parcel# 0 BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a all Parcel Stormwater Site Plan is Required Total Impervious Surface Area(sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representa've,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are grante ess to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPM T� NiC/Ventilation Code Compliance A lication l �' F G ��' � � � p pp Submit with heating/cooling system size worksheet (see instructions #4) Owner: Parcel#: Type of project: Total Sq. Ft. 15t Floor: 2�d floor: Hea�� paen ,C of heated area:: I B-5 P��/C EUE Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace AUG 2 9 2017 O Heat Pump with electric furnace 0 Heat pump with gas furnace O Ductless Heat Pump O Boiler,specify fuel type,. O Other: 615 W. Alder Street Specify: IN Prescriptive Option Table R402.1.1 (see table on previous page) Compliance Method ElComponent Performance, R402.1.3—Calculation worksheets required _ Must Check one:: ❑ Other(Specify): Check one ❑ Whole House Ventilation system 19 Whole House Ventilation Ventilatio using exhaust fans&window or wall Integrated with a Forced Air ❑Other, describe: fresh air vents(M1507.3.4)_ If using System(M1507.3.5) n System window vents be sure to order windows with vents. Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements,"all residential units must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to comply. If the table is not attached to this form you can access the table on our website at: Additional a) Description: Small dwelling units: less than 1,500 sq. feet of heated or cooled floor area and less than 300 sq. ft fenestration area(skylights, doors, windows, etc). Energy *Including additions to existing building that are greater than 500 sq. ft. of heated floor Efficiency Requirem but less than 1,500 sq ft of floor area. Requires 1.5 credits ents b) Medium dwelling units that are not included in (a) above{small dwelling), OR(c) below Energy (large dwelling) Requires 3.5 credits credits EXCEPTION: Dwelling units serving R-2 occupancies shall require. Requires 2.5 required: credits. Seepage two for description. \3•5 c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq. ft. of heated or cooled floor area. Requires 4.5 credits d) Additions less than 500 sq feet. Requires .5 credits (Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque doors, glazed-doors that include products with glass and non-glass glazing materials_) Describe Energy Credit Option(s): Using Option ()V t number(s): �._ ..gym MASON BUILDING INSPECTOR FILE in. 5c , s 0-, CHANGES SUBJECT TO P ROVAL COPYDAT c ll 3 ?.ot'7 3 OPTION DESCRIPTION CREDIT(S) 5a EFFICIENT WATER HEATING 5a: 0.5 All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less.' To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum flow rates for all showerheads,kitchen sink faucets,and other lavatory faucets. 5b EFFICIENT WATER HEATING 5b: LO Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.74 or s, Water heater heated by ground source heat pump meeting the requirements of Option 3c. or For R-2 occupancy,a central heat pump water heater with an EF greater than 2.0 that would supply DHW to all the units through a central water loop insulated with R-8 minimum pipe insulation. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the water heater equipment type and the minimum equipment efficiency. 5c EFFICIENT WATER HEATING 5c: 1.5 Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.91 or Solar water heating supplementing a minimum standard water heater.Solar water heating will provide a rated minimum savings of 85 therms or 2000 kWh based the Solar Rating and Certification Corporation(SRCC)Annual Performance of O 300 Certified Solar Water Heating Systems or Electric heat pump water heater with a minimum EF of 2.0 and meetin a standards of NEEA's Northern Climate Specifications for Heat Pump Water H ters To qualify to claim this credit,the building permit drawings shall ify the option being selected and shall specify the water heater equipment and the minimum equipment efficiency and,for solar water heating systems,th calculation of the minimum energy savings. Sd EFFICIENT WATER HEATING/ocumentation 0.5 A drain water heat recovery unit(s) installed, ch captures waste water heat from all the showers,and has a mifficienc of 40%if installed for equal flow or a minimum efficiency of 52%id for equal flow.Such units shall be rated in accordance CSA B55.1 an ed. To qualify to claim this credit,the runt drawings shall include a plumbing diagram that specified the drain w recovery units and the plumbing layout needed to install it and labels or otmentation shall be provided that demonstrates that the unit liee standard. 6 RENEWABLE ELECTRIC E GY: 0-5 For each 1200 kWh ofelectri generation per each housing unit provided annually by on/teol'ad or solar a pment a 0.5 credit shall be allowed,up to 3 credits. Generall becal atedas follows: For soric s,the design shall be demonstrated to meet this requirement using onal en,wable Energy Laboratory calculator PV WATTs. Docun ting solar access shall be included on the plans. Fot won projects designs shall document annual power generation based ontheg factors:The wind turbine power curve;average annual wind speed at the sitency distribution of the wind speed at the site and height of the tower. claim this credit,the building permit drawings shall specify the option being selected and shall show the photovoltaic or wind turbine equipment type, Provide documentation of solar and wind access,and include a calculation of the minimum annual energypower production. a.Projects using this option may not use Option la,lb or 1c b.Projects may only include credit from one space heating option,3a,3b,3c or 3d.When a housing unit has two pieces of equipment(Le.,two furnaces)both must meet the standard to receive the crediL c.Plumbing Fixtures Flow Ratings.Low flow plumbing fixtures(water closets and urinals)and fittings(faucets and showerheads)shall comply with the following requirements: 1.Residential bathroom lavatory sink faucets:Maximum flow rate-3.8 L/min(1.0 gal/min)when tested in accordance With ASME A112:185/C'SA B125.1. 2.Residential kitchen faucets:Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with ASME A112.1&VCSA B125.1. 3.Residential showerheads:Maximum flow rate-6.6 Undn(1.75 gal/min)when tested in accordance with ASME A112.181/CSA B125.1 7 W FENESTRATION'SCHEDULE USE FOR ENERGY CREDIT,a)SMALL DWELLING OPTION&COMPONENT PERFORMANCE COMPLIANCE List all windows, doors, skylights. (if needed, attach an additional sheet) 'Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors,glazed-doors that include__roducts with Wass and non- lass lazing materials. Manufacturer Location U-Factor Size Quantity Total (rough opening) Square Feet TI Total Fenestration: windows, skylights and door area Energy Credits 4 c) Large dwelling unit is a dwelling unit that exceeds 5,0 0 sq. ft. of heated or cooled floor area. Requires 4.5 credits. d) Additions less than 500 sq feet. Requires .5 credits 4 Must provide a completed heating/cooling system size wor sheet to verify compliance to IECC R403.7. The calculatorlworksheet is available on the WSU-Energy Program website at: Staff may be able to assist with preparation of the worksheet 5 Must meet the prescriptive option for all fenestration products. Products shall comply with the quired U- factor listed in Table R402.1.3. Windows, doors, and glazed doors shall have a tested U-fa or or..30-or less. When using the small dwelling option for energy cred is (a) or Performance Alt erna ' e approach you must provide a fenestration schedule that identifies the square feet and U-factor of ach item. Fenestration is defined in the IECC as skylights, roof windo s, vertical windows, opa a doors, g/azed- doors that include products with glass and non-glass g/azin 7 materials. 6 Identify on the construction drawings the location and fuel type of the heating sys m, water heater, location of exhaust fans(bathroom, laundry, kitchen, etc.) arid R-factor of propo ed insulation for walls., floors, ceilings, and concrete slab floors on the building plans. 7 Not less than 75% of all permanently installed lamps in lighting fixtures sh be high efficacy lamps. High efficacy lamps are defined in IECC Chapter 2 and are considered c pact fluorescent lamps, T-8 or smaller diameter linear fluorescent lamps, or lamps with a minimum ficacy 60 lumens per watt for lamps over 40 watts, 50 lumens per watt for lamps over 15 atts to 4 watts, and 40 lumens per watt for lamps 15 watts or less. If you need assistance please contact Mason County Communit Dev opment at (360) 427-9670 ext. 352 or WSEC compliance information and code text is also available on th SU-Energy Program website at: Prescriptive Requirements 01 for ason County Climate Zone 4-C, Table 4 2.1.1 Fenestration Glazing U-factor Area% VaulteFbove all Wall Slab d on Option of Floor Vertical Skylight Ceiling Ceilingin �,"below grade Floor Grade (I�dudes doors, b Wndows etc. R-10,2 ft 4C Unlimited .30 .50 R-49 /-38 R-21 0/15/21 int+ R-30 Heated slabs int k) TB require R10 full slab. Log & solid timber wall with a min, avg. thi ness of 3.5" are exemp from the above grade wall insulation requirements. All footnotes are available o WSU-Energy Program Ififebsite @ 2 F__ - - MASON COUNTY RESID NTIAL PLANS SUBMITTAL CHECKLIST Owner's Nam Y' ' Y C,((.l� Date: 8-22-l Project description: n W S Documents: RECEIVED `�Y5 uilding Permit Application Completed. k(a rL E� �+ AUG 2 9 2017 _ echanical/Plumbing Application Completed. ✓ Planning Intake Checklist Completed. 615 W. Alder Street ✓Site plan includes: Allowable building area, roof overh gs, decks, etc. Fire Apparatus &Access Road info required? Yes/ Flo -"'Stormwater Checklist Completed. Energy Code Application Form - O Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric furnace 0 Heat pump with LPG furnace O Boiler(heat type ) O Ductless Heat Pump O Other: Specify: Construction Plans: ✓� Sets (2 full size sets vjc engineered calculation 1 reduced sized sety1X17 min.(no calculation needed ) . lans Legible ✓recognized Scale Elevation Views ✓ Cross Section Foundation Plan ✓ Roof Framing Plan _ Floor Plan -Use of rooms labeled (all floors) loor Framing Plan - all floor levels including loft, crawlspace, etc. eck Framing Plan including covered porch, carports Plan Details: Roof framing details, truss lay-out may be needed (Hip and girder location shown) PFIoor�framing: all Framing - Does bearing-wall height exceed 10'? (Engin eri m e r red)Floor joists (size &spacin ):-^�Z I ��8 Floor be s: _Window headers. Typical header.SCE Leg - Garage header: L• .2.O 8 Foundation: footing size, reinforcement S _ �Y, ,Concrete Walls- Does Concrete Wall Height Exce 8'? (Engineering may be required, see details) PLandings at all exits? Less than 30° a�ve grade Y N (must be shown on site plan) ater Heater: Location: Type: S �Bated By Furnace- Location of Furnace Fuel type: L_pG� ireplace/Stove Information Shown- Fuel Type? Location(s):—CU t Window Sizes Marked on Plans. ✓raced wall panels (shear walls) MUST be marked/indicated on plans. �_.Y1 t I yu-ka- n Engineered n/ No Snow load: 5S Seismic: D2 Design Code:2'0 l (I Are plans st fl V S Manufactured Homes: _4 Floor P ,(rooms &areas must be labeled) Foundation Type: ANSI/Manufacture methods Engineered footing/foundation Basement Decks`: 4x4 min. landings required at a ntrance (must be shown on site/plot plan) *Covered decks and/or an decks reater than a 4'x4' xceed 30"from_grade) requires a permit and construction plans. COMMENTS: Intake review (initials): Date: A-\permit tech building checl:Iist2015.doc Re 8.5.2016 '� �� If any of the items fisted below are either indicated or missing within the construction documents; the plans must be engineered or returned to the applicant for resolution. ENGINEERING REQUIRED: Braced wall panels/brace wall lines are not marked on plans (R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans. Wind 85 MPH, Exposure B (unless proven otherwise). Seismic Zone: D2, Snow psf. IRREGULAR BUI LDINGS R301.2.2.2.5 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur. 1) Exterior shear wall or braced wall line are not in one plane vertically from the foundation to the uppermost story in which they are required. See exceptions. 2) Roof or floor is not laterally supported by shear walls or brace walls lines on all edges. 3) Portion of roof or floor extend more than 6 ft. beyond the braced wall line. 4) End of BWP extends more than 1 ft. over an opening more than 8 ft in width below. 5) Opening in a floor or roof exceed the lesser of 12 ft. or 50% of the least floor or roof dimension. 6) Portions of floor level are offset vertically 7) Shear wall lines do not occur in two perpendicular directions. 8) If a story above grade includes masonry or concrete construction*When this applies the entire story shall be designed. In accordance with accepted engineering practice. *(exception: fireplaces, chimneys, and veneer as . permitted by the code). ***Applicant must take plans to a design professional to address items indicated above*** Notes/Comments for design professional: H:\permit tech building checklist2015.doc Revised 8.5.2016 J RECEIVED NOV 0 3 2017 F ILE W. Alder Street tecinstruct LLC copy 6830 NE Bothell Way Suite C,PMB 181 Kenmore,WA 98028 (206) 553-9076 rheimisch@yahoo.com Bruce& Marcia Youit 9 www.tecinstruct.com 8416 224th St SW Edmonds, WA 98026 Engineering for NEW SFR Engineering 1121 Tahuya Blacksmith Road,Tahuya,WA 98558 11/02/2017 Dear Bruce&Marcia, The shear wall capacity for framed walls is determined by the sheathing and therefore is the same 2x4"and 2x6"stud walls. Consequently,if you decide to go with 2x6"walls,it does not affect the lateral design and no re-6sion of the shear wall layout is necessary. Sincerely, Roland Heimisch,P.E. —��T,--;J� tecinstruct LLC may.O� `„A ti f f1%. �`� i �_7 to ia79 o a GY'. Ii o Z o ooP :,. MASON COUNTY COMMUNITY SERVICES `V' !A R' PERMIT ASSISTANCE CENTER; Perm mit No: `i •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL i 615 W.Alder Street,Shelton,WA 98584 RECEIVED = ,1 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone AUGBelfair.-(360)275-4467•Phone Elma:(360)482-5269 U 2 9 2017 85 BUILDING JL JMIM. -s-IM�.,...:.-. 615 W. Alder Street BUILDING PERMIT APPLICATION PROPERTY OWNERMORMATION: CONTRACTOR INFORMATION: N � �S7�' MAILING ADDR MAILING ADDRESS: 1 CITY:;^� ��STATE: ZIP:RSA(o CITY: STATE: ZIP: PHONE#1:(�\ �7���-RR �L PHONE: CELL: PHONE#2�c La�7 a 0,R -$c7`�i� EMAIL: EMA]I,:(JN M t� ��1� M L&I REG# EXP. CONTACT PERSON : OWNER CONTRACTOR❑ OTHER/BELOW ❑ MAILING ADDRESS: 4$A\L o CITY:G-cXNNc7-yO Ag) STATE:(AD(e\ PHONE: LL-Z!l !:- EMAIL: 111 CA—) ����� g'Z@ f'z�--C PARCEL INFORMATION• PARCEL NUMBER(12 DIGIT NUMBER)Df � L.,cS 1Z� ZONING (�- LEGAL DESCRIPTION(ABBREVIATED) FIRE DISTRICT SITE ADDRESS kvp.\ TAh,3 COT DIRECTIONS TO SITE ADDRESS, IS PROPERTY WITHIN 200 FT: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES❑ NO g TYPE OF WORK: NEW [ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY[SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS- HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part(s]of Bldg) @,-'- NO❑ DESCRIBE WORK 1�3 SOUARE FOOTAGE: 1ST FLOOR) sq.ft. 2ND FLOOR sq.fL 3RD FLOOR sq.ft BASEMENT 10 sq.ft DECK COVERED DECK sq.ft. STORAGE .ft. OTHER sq.ft. GARA�� q-ft ATTACHED RIDETACHED ❑ CARPORT .ft. ATTACHED [DETACHED❑ TrAUAAA JL1t1ALINU1Vit3L"lC ENVIRONMENTAL HEALTH: aZCO9• 072J-P(p SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTINGX PLUMBING IN STRUCTURE? YES NO ❑ f yes, attach completed Water Adequacy Form PERIMETEWFOUNDATION DRAINS PROPOSED? YES NO❑ EXISTING SQ.FT. EXISTING BEDROOMS ,e- PROPOSED BEDROOMS a TOTAL BEDROOMS C�Z OWNER acknowledges that submission of inaccurate Information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permitlapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) Z� X z � 7 Signature of NER Muef be sinned by the OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH ��4• I 211 MASON COUNTY PERMIT NO. IC) bl DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING-PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.RECEIVED D N&I ty Bldg. III, 426 West Cedar Street (360)275-4467 Belfair ext. 352 Shelton,WA 98584 (360)482-5269 Elma ext. 352 Alai 2 9 2017 PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: twl- NAME: MAILING ADDRESS -391 b 2Z4JJ, S; e,, MAILING ADDRESS: CITY: f.pMomDS STATE:- WA ZIP: &ZL; CITY: _STATE: ZIP: PHONE:42s-7n-q111 CELL: qzc-2% 4 oOO PHONE: CELL: EMAIL: � ►L g,� L,CD�vt EMAIL : L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): l2-SIC) 76 000 I (� LEGAL D ES C RIPTION(ABBRE viA TED): 'T nAC i 1 01=Suez tr. d, VaI-umF(2. PACLe►© 00421011 Dy ZIL SITE ADDRESS: f 12l TAt4QYA >3UAucs nrrH 2N Ale CITY 7A L))( DIRECTIONS TO SITE ADDRESS: TYPE OF JOB NEW )( ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of F12wws Fees Fuel Type:Electric PG Natural Gas Heat Pump_ Toilets Type of Unit of Units Fees Bathroom Sink Furnace 1 Bath Tubs \ Heatpump Showers Spot Vent Fan Water Heaters Propane Tank Clothes Washer 1 utlets Kitchen Sinks ootellet StoveDishwasher � tc en aust Hood Hosebibs Dryer Vent \ Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor. I further declare that 1 am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. 7 X S. oI Signature of Applicant Date X Owner/Owners Representative/Contractor Print Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENTS a 30 PLANNING DEPARTMENT FIRE MARSHAL